The Commissioning framework for dementia, part of the recently published Dementia Commissioning Pack, is intended as a point of reference and a resource for commissioners.

• Download the Commissioning framework for dementia
• Access the Dementia Commissioning Pack documents

It may be used to:

• revisit and re-establish the principles underpinning local commissioning priorities
• enhance integrated approaches to commissioning, and integrated service delivery
• inform the use and adaptation of the accompanying Assessment Tool within the Dementia Commissioning Pack.

At each phase of the dementia journey, the framework sets out:

• outcomes for the person with dementia, their carers/families
• needs underpinning these outcomes
• what people can expect to be able to access and receive (information, resources, services, care and support)
• options for commissioners to consider in order to deliver these outcomes.

The Commissioning framework for dementia decrsibed three key principles which underpin commissioning:

• Assets-based: using, and drawing on a person’s assets and strengths, and those of their families, friends and community.
• Proactive: understanding current needs, thinking ahead and anticipating change, and planning for the future.
• Effective: ensuring that safe and effective services and support are in place.

The diagram opposite shows how the framework presents opportunities for commissioning flexible, responsive services, and for building capacity in local communities to enable people to live well with dementia. Click on the diagram to view a larger version.

The commissioning framework is set out in six phases, reflecting the journey of a person with memory problems or dementia, and that of his or her carer/family:

• Phase 1 When memory problems have prompted me, and/or my carer/family to approach my GP with concerns.
• Phase 2 Learning that the condition is dementia.
• Phase 3 Learning more about the disease, options for treatment and care, self-management and support for me and my carer/family.
• Phase 4 Getting the right help at the right time to live well with dementia, prevent crises, and manage together.
• Phase 5 Getting help if it is not possible to stay at home, or if hospital care is needed.
• Phase 6 Receiving care, compassion and support at the end of life.